Pediatric Intensive Care: Quality perceived by parents

Section: Originals

How to quote

Agra Tuñas MC, Pérez Varela F, Bello Rama E, Mato Guerra P, Calviño Vieito N, Garrudo Díaz R, et al. Cuidados intensivos pediátricos: calidad percibida por los progenitores. Metas Enferm abr 2018; 21(3):19-26.

Authors

Mª del Carmen Agra Tuñas1, Fátima Pérez Varela2, Eva Bello Rama1, Paula Mato Guerra3,Nuria Calviño Vieito4, Rubén Garrudo Díaz5, Manuela Pérez Rivas1, Antonio Rodríguez Núñez6

Position

1Enfermera. Especialista en Enfermería Pediátrica. Área de Pediatría, Servicio de Críticos, Intermedios y Urgencias Pediátricas. Hospital Clínico Universitario de Santiago de Compostela. A Coruña2Enfermera. Máster en Atención Sanitaria, Gestión y Cuidados. Área de Pediatría, Servicio de Críticos, Intermedios y Urgencias Pediátricas. Hospital Clínico Universitario de Santiago de Compostela. A Coruña3Enfermera. Licenciada en Farmacia. Área de Pediatría, Servicio de Críticos, Intermedios y Urgencias Pediátricas. Hospital Clínico Universitario de Santiago de Compostela. A Coruña4Enfermera. Área de Pediatría, Servicio de Críticos, Intermedios y Urgencias Pediátricas. Hospital Clínico Universitario de Santiago de Compostela. A Coruña5Graduado en Estadística Aplicada. Postgrado en Minería de Datos e Inteligencia de Negocios. Universidad Complutense de Madrid. Madrid6Catedrático de la Universidad de Santiago. Departamento de Psiquiatría, Radiología, Salud Pública, Enfermería y Medicina. Unidad de Cuidados Intensivos Pediátricos, Área de Pediatría. Hospital Clínico Universitario de Santiago. A Coruña

Contact address

Mª del Carmen Agra Tuñas. Rúa Hospitaliño, 18-2º D. 15704 Santiago de Compostela (A Coruña).

Contact email: carmeagra@hotmail.com

Abstract

Objectives: to assess the quality of care offered at the Paediatric Intensive Care Unit (PICU) from the perspective of patient’s relatives.
Method: a transversal study conducted at the PICU of the Hospital Clínico Universitario de Santiago de Compostela (A Coruña), between January, 1st, 2016 and January, 25th, 2017. The relatives of children discharged from the PICU within this period were invited to take part, and they were requested to complete the EMPATHIC-30 questionnaire, which consists in 30 items distributed into five dimensions. The study excluded hospitalizations < 24 hours, deaths, previous admissions in the past six months, and those cases with lack of knowledge of the language. Overall, 308 surveys were handed out. There was a descriptive analysis, and data were presented with mean and standard deviation (SD).
Results: there was a collection of 181 surveys (58.8% of all likely cases); of these, 63.5% were completed by mothers, and 26% were for hospitalizations >7 days, 32% were referrals from other hospitals, and 30.4% were scheduled hospitalizations. On a 5 score, the mean (SD) satisfaction of parents was 4.5 (0.6). Regarding the different dimensions in the questionnaire, the scores were: unit organization: 4.7 (0.5), attitude of professionals: 4.6 (0.7), care and treatment: 4.5 (0.7), information: 4.4 (0.8), and family involvement: 4.3 (0.8). The worse rated items were: Interest by the staff for parents’ concerns: 3.9 (1.2), and parents’ involvement in decision making: 3.9 (1.2).
Conclusions: parents of children admitted in the PICU rate very positively the quality of care conducted by professionals. However, there should be an improvement in the attitude and empathy by professionals, and family involvement should be encouraged in terms of decision making processes.

Keywords:

paediatrics; intensive care; family-centered care; quality control; empathy; surveys and questionnaires; decision making; decision making

Versión en Español

Título:

Cuidados intensivos pediátricos: calidad percibida por los progenitores